Optimal ileocolic flap length for a reconstructed voice tube after laryngopharyngectomy

Y. A. Tsou, T. S. Li, M. H. Tsai, Hung Chi Chen, Peter C Belafsky

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Background: Voice restoration after laryngopharyngectomy can be achieved with an autologous ileocolic flap. We have observed that the length of the flap influences vocal outcome. This investigation aimed to evaluate the association between ileocolic flap length and vocal quality after laryngopharyngectomy. Methods: The charts of patients who underwent voice rehabilitation with an ileocolic flap after laryngopharyngectomy between 1 January 2011 and 30 December 2012 were abstracted. The length of ileum segment in the ileocolic flap was stratified, and voice outcome was evaluated three months post-operatively, while adjusting for confounding variables. Results: There was a significant association between flap length and loudness, maximum phonation time and sound pressure level (p < 0.05). All three parameters were best in the 10 cm length group. Conclusion: Voice rehabilitation after laryngopharyngectomy is possible with an ileocolic flap. The optimal ileocolic flap contains a 10 cm ileum segment. Complications are frequent but amenable to revision surgery.

Original languageEnglish (US)
Pages (from-to)190-193
Number of pages4
JournalJournal of Laryngology and Otology
Volume130
Issue number2
DOIs
StatePublished - Feb 1 2016

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Keywords

  • Hypopharyngeal Neoplasm
  • Ileocolic Flap
  • Laryngectomy
  • Pharyngectomy
  • Voice Disorder

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Medicine(all)

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